Northeastern Gastroenterology Associates, PC
Northeastern Gastroenterology Associates, PC was paid $698K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 29% of everything it billed.
HONESDALE, PA 18431
Next to other Gastroenterology Physician providers in Pennsylvania
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 507 | $649.15 | |
| 2019 | 251 | $103.58 | |
| 2020 | 985 | $46K | |
| 2021 | 4,500 | $205K | |
| 2022 | 3,822 | $171K | |
| 2023 | 3,994 | $162K | |
| 2024incomplete | 2,098 | $113K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 29% | 1,595 | 1,561 | $204K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 28% | 4,476 | 4,370 | $197K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 18% | 2,258 | 2,010 | $124K |
| 88342 | 7.8% | 1,381 | 1,322 | $55K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.4% | 428 | 413 | $30K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 1,021 | 1,004 | $29K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.9% | 76 | 76 | $13K |
| 88313 | 1.8% | 1,286 | 1,199 | $12K | |
| 88312 | 1.6% | 571 | 551 | $11K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.3% | 51 | 51 | $9K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 151 | 149 | $7K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 24 | 24 | $3K |
8 more codes
| 99243 | <1% | 37 | $3K | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 198 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,177 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 277 | $0.00 |
| 1036F | 0% | 44 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 28 | $0.00 |
| 3017F | 0% | 34 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 44 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Mountain Laurel Surgery Center, LLC | Honesdale, PA | $446K |
| Maple City Anesthesia LLC | Honesdale, PA | $68K |
| First Podiatry, PC | Evansville, IN | $327.21 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.